Final Exam Clinical Questions Unit 2 Flashcards
Osteitis deformans is excessive __________ __________ and __________
__________ are larger and contain more nuclei
Bone deposition and resorption
Osteoclasts
Excessive bone deposition causes excessive __________ activity
Osteoblast
Excessive bone resorption causes excessive __________ activity
Osteoclast
Anchondroplastic dwarfism
abnormal conversion from __________ to __________
Hyaline cartilage to bone
Anchondroplastic dwarfism is an __________ __________ disorder
Autosomal genetic
In anchondroplastic dwarfism, __________ bones stop growing
Long
In achondroplastic dwarfism, the failure of __________ in 2nd and 3rd zones of __________ __________ to multiply
Chondrocytes, epiphyseal plate
achondroplastic dwarfism causes inadequate__________ __________
Endochondral ossification
Bone scans detect bone pathologies __________ than x rays
Faster
How much radiation do bone scans use?
A little
How is the radiation for bone scans delivered?
Intravenously
In bone scans, normal bone is what color?
Gray
in bone scans, darker areas indicate what?
Increase metabolism
In bone scans, lighter areas iindicate what?
Decreased metabolsim
Bone scans are also used for __________ and __________
Cancer, bone infection
Cleft lip is the incomplete fusion of the __________ __________ of embryo
Upper jaw
Cleft lip is more common in __________
Males
What causes cleft lip?
Multifactorial, genetic or environment
Cleft palate is __________ __________ in midline of palate
Congenital fissure
Cleft palate causes what problems?
Swallowing, feeding
In cleft palate, food can easily travel from __________ cavity to __________ cavity
Oral, nasal
Is cleft lip or cleft palate less common?
Cleft palate
In herniated disc, __________ portrudes through __________
Gelatinous nucleus pulposus, analus fibrosus
In herniated disc, it pinches the __________ __________
Spinal cord
Cervical herniated disc causes what pain?
Neck, upper limb
Lumbar herniated disc causes what pain?
Lower back, sciata (entire lower limb)
non-surgical treatment for herniated disc is
NSAIDs, non-steroidal anti inflammatory drugs
Surgical treatment for herniated discs are
Microdiscectomy, discectomy
What is removed in a discectomy?
Laminae
Fracture of clavicle occurs at __________ joint
Sternoclavicular
Anterior fracture of clavicle causes stress to __________ of bone
Mid-region
Posterior fracture of clavicle can cause bone sphincters to penetrate __________ artery and vein
Subclavian
Subclavian artery supplies __________ __________
Upper limb
Which fracture of the clavicle is more serious? Anterior or posterior
Posterior
What percent of adults have a sternal foramen?
4-10
sternal forman is an __________ __________
Ossification anomaly, failure of left and right ossification centers to fuse
The area of sternal foramen is used as an __________ __________
Acupuncture site
Costal element of C7 elongates and forms rib
- compresses __________ artery
Axillary
Extra pair of rubs form at __________
L1
Lacking __________ rub
12th rub
Bifid ribs split into 2 pairs at __________
- __________
Sternum
asymptomatic
Colles fracture is fracture of __________. __________
distal radius
What is a scaphoid fracture?
Fracture of scaphoid,
splits into 2 pieces
only ONE piece remains blood supply
Blood vessels are torn on __________ part of scaphoid
causes __________
Proximal
Avascular necrosis
Avascular necrosis is death of __________ __________ due to low blood supply
- can cause __________ disease
Bone tissue
Degenerative joint disease
A pott fracture is a fracture of __________ __________ or __________
Distal tibia or fibular
A pott fracture involves __________
Malleoli
A poor fracture is a result of __________
- damages __________ ligament
- breaks __________ __________
Inversion
Deltoid
Medial malleolus
Inversion in pott fracture causes __________ movement of foot
- damages __________ ligament
- breaks __________ shaft
lateral
lateral
fibular
Bunion is swelling of __________ joint
- wearing shoes that fit too tightly
Metatarsophalangeal
What is pes planus
Flat feet
What is pes cavus?
joints between __________ and __________ are overly extended
High longitudinal arches
Metatarsals and phalanges
Talipes equinovarus is what?
Feet are __________
Congenital clubfoot
inverted
Talipes equinovarus is due to not enough
Room in the womb
What is metatarsal stress fracture
Small crack on outer surface of bone
What is polydactyl
Extra digits
What is ectrodactyl
Absence of a digit
What is syndactyl
Webbing, fusion of digits
What is amelia
Absence of a limb
at is meromelia
partial absense of a limb
What drug causes limb malformation?
Thalidomide
Cracking knucles is stretching or pulling __________ joint
Synovial
Cracking knuckles causes joint volume to __________
pressure on fluid __________
causes __________ __________
Expand
Decreases
Partial vacuum
__________ forms bubbles
cracking happens with bubbles pop
Cavitation
Does cracking cause arthritis?
No
Temporomandibular joint is when there are alterations in ligaments that secure joint, causing a displacement of __________ __________
- __________ noise is heard when person opens or closes mouth
Articular disc
popping
TMJ disorder causes headaches, sinus pressure, pain in __________ sinuses, tympanic membrane, oral cavity, eyes, mouth
Paranasal
TMJ is seen in people who __________
Chew gum, grind teeth
Sublaxation is __________
- conact between bony joint surfaces is altered but they are still in partial contact
Incomplete dislocation
In sublaxation of head of radius, head is pulled out of __________ ligament.
- pulled elbow
- happens in children because ligament is thin and head of radius is not fully formed
Anular
Treatment of sublaxation of head of radius
“screw” radial head back into anular ligament
What injruies to the knee are common?
Ligamentous
__________ __________ ligament is injured when leg is forcibly abducted
- Turned laterally
- Causes __________ __________ to be injured as well
Tibial collateral
medial meniscus
__________ __________ ligament is if medial side of knee is struck
Fibular collateral ligament
Which ligament injury is rare?
Fibular collateral
Anterior cruciate ligament injury occurs if leg is __________
- ACL is weak ligament
Hyperflexed
What test is done to test for ACL tear?
Anterior drawer test
Posterior cruciate ligament occurs if leg is __________ or if tibia is driven posteriorly
Hyperflexed
Is PCL or ACL tear more common?
ACL
What test is done to test for PCl tear?
Posterior drawer test
Tear in meniscus can occur due to blow to the __________ or overuse of ligament
Knee
Tear in meniscus is treated how?
Surgically
The unhappy triad is what three injuries combined?
ACL, tibial collateral, medial mensicus
What is arthroscopy?
Surgery where small incision is made in knee and arthroscope is inserted
What is a sprain?
Stretching or tearing of ligaments without fracture or dislocation of joint
Ankle sprain happens when foot is __________
Twisted
In an ankle sprain, fibers of __________ ligaments are stretched or torn
- produces swelling anteroinferior to lateral __________
Lateral
malleolus
LIgaments are composed of __________ CT which is __________
Dense regular, poorly vascularized
What is arthritis?
Inflammatory or degenerative diseases of joints
Gout arthritis is caused by an increased level of __________ __________ in blood
- Causes __________ __________ to accumulate in blood
Uric acid
Urate crystals
Gout begins attack on a single joint, often the __________, and progresses
Big toe
What is treatment of gout?
NSAIDs, clochicine to reduce uric acid levels
Osteoarthritis is what?
Regenerative arthritis, wear and tear
Osteoarthritis has prevalence in __________ __________ joints
Weight-bearing
In Osteoarthritis, the __________ __________ breaks down first
Articular cartilage
How is osteoarthritis treated?
NSAIDs, coricosteroid injections
Rheumatoid arthritis is an __________ disorder
Autoimmune
Rheumatoid arthritis starts with __________ __________ inflammation
Synovial membrane
What is anklyosis?
Synovial membrane thickens, articular cartilage thickens, scar tissue forms, bones fuse together
- leads to immobilizing joint
What is treatment for rheumatoid arthritis?
NSAIDs, corticosteroids
Methotrexate, hydroxychloroquine
Tetanus is a form of __________ __________
- Caused by __________
- Toxin blocks release of inhibitory neurotransmitter called lycine in spinal cord, resulting in overstimulation of muscles
Spastic paralysis,
Clostridium tetani (anaerobbic)
Tetanus causes __________ __________
Muscle contractions
Botulism is __________ __________
Muscular paralysis
Botulism is caused by what bacteria?
Clostridium botulinum
Rigor mortis is when what?
Skeletal muscles lock into contracted position
Deceased person becomes irgid
What is rigor mortis used for?
Establish time of death
Fibromyalgia is chronic severe in __________ and __________
Skeleton and muscles
Fibromyalgia also causess
Depression
Muscular dystrophy is when
Skeletal muscles degenerate, lose strength
In muscular dystrophy, skeletal muscles are replaced by __________ and __________
Adipose, fibrous CT
Duchenne muscular dystrophy results from __________ alleles
Sex-linked
DMD only occurs in __________
- Causes __________ of muscules
Males
Shortening
DMD can cause
Scoliosis
Is DMD curable?
No
Gene that may be able to treat DMD
Dystrophin
Myasthenia gravis is an __________ disorder that affects neuromuscular junctions
Autoimmune
Myasthenia gravis affects __________ __________
Neuromuscular junctions and skeletal muscle function
Myofascial pain syndrome is excessive use of __________ muscles
Postural
MPS pain results when bands od muscles fibers __________ and __________ after overlying skin is stimulted
Tighten, twitch
Idiopathic nerve paralysis is paralysis of what nerve?
Facial nerve CN VII
What is facial nerve paralysis called?
Bells palsy
CN VII paralysis has been asociated with __________ infection
Herpes, Lyme disease
CN VII paralysis is also caused by
Sleeping with a side of head facing window, cold temperatures
Treatment of CN VII paralysis
Prednisone to releive swelling of nerve
Do people recover from CN VII paralysis?
Yes, 50% do
What is strabismus?
When eyes are improperly aligned
How does strabismus happen?
Eyes don’t work synchronously, one sends different image than other
- one of them gets ignored and gets weaker over time, results in lazy-eye
What is strabismic ambylopia
When lazy eye loses visual acuity
What causes strabismus?
Birth injuries, eye diseases, heritary
How is strabismus treated?
Wear patch over stronger eye to force weaker eye to work harder
Congenital muscular torticollis is what?
Shortened or tightened sternocleidomastoid muscle
What are the treatments for muscular torticollis?
Botox, sternocelidomastoid release surgery, stretching affected muscles
Paralysis of the diaphragm is caused by what?
Injury to critical parts of brain, spinal cold or phrenic nerves
- spinal cord injury at superior to 4th cervical vertebrae
- poliovirus
What does paralysis of the diaphragm cause?
Cannot breathe
What device helps with paralysis of diaphragm?
Iron lung
A hernia is when a portion of the _________ protrudes through a weakened point of muscular wall of __________ cavity
Viscera. abdominopelvic
If a hernia in the intestine swells and becomes trapped, __________ is diminished, causing it to die
This is called __________
Blood flow
Strangulated intestinal hernia
direct Inguinal hernia: loop of __________ protrudes directly through __________
- not through entire length of inguinal canal
- creates a bulge in lower anterior abdominal wall
Small intestine, inguinal canal
Indirectly inguinal hernia: herniation travels through entire length of __________ __________ and into __________
inguinal canal, scrotum
Inguinal hernias follow path of __________ __________
Spermatic cord
Femoral hernia occurs in __________ __________
- women are most commonly likely to develop
- wider femoral triangle
Upper thigh
What is in epistiotomy?
Surgical incision between vagina and anus to prevent tearing
What is the con of episiotomy?
Causes infection, bleeding, not much better than regular tearing
shin splits in soreness or pain along __________
Tibia
Causes of shin splits
- tendonitis involves __________ __________ muscle
- inflammation of __________, periostitis
Tibialis anterior
periosteum
Compartment syndrome is when
Blood vessels in a limb becomes compressed due to muscle straight
Ischemia
Reduced blood flow
Ischemia leads to __________
Hypoxia
what is hypoxia
Lack of oxygen within compartment